Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

David Norman (NPI 1306871660)

David Norman is a pediatrics physician provider located in Belleville, Illinois. This profile covers 0 Medicare and 54 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	David Norman
Address	3030 Frank Scott Parkway West
City	Belleville
State	IL
ZIP	62223
Taxonomy	Pediatrics Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	17,730	$50	$851.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,370	$80	$635.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	7,000	$70	$517.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	6,660	$80	$512.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,670	$70	$446.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	5,260	$80	$431.2K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	17,790	$20	$284.7K
92558	In this procedure, the provider passes low intensity sounds through the ear and measures the reflected sound to analyze hearing deficiencies in newborn babies and small children who are not able to…	19,490	$10	$233.9K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	15,690	$10	$109.8K
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	8,500	$10	$102K

Showing 1–10 of 54

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

Claims Volume vs. Illinois Distribution

David Norman — 22 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

54 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	118	400	550	$20	$90.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	294	14,680	300	$50	$48.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	27	1,380	370	$40	$46.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	31	1,270	370	$40	$40.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	198	14,190	280	$20	$38.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	21	1,670	160	$40	$26.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	24	1,590	110	$40	$21.4K
92558	In this procedure, the provider passes low intensity sounds through the ear and measures the reflected sound to analyze hearing deficiencies in newborn babies and small children who are not able to…	1	40	380	$10	$18.7K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	7	1,130	390	$10	$15.9K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	224	720	90	$30	$12.1K

Showing 1–10 of 54

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philip Dy	IL	Medical Oncology Physician	$4.4M	$549.3K
Gibran Mahmud	IL	Hematology & Oncology Physician	$2.2M	$477.7K
James Wade	IL	Medical Oncology Physician	$2.6M	$35.2K
Bassam Maalouf	IL	Hematology & Oncology Physician	$1.8M	$770.9K
Sebastien Kairouz	IL	Hematology & Oncology Physician	$2.1M	$425.9K
Hanna Saba	IL	Hematology & Oncology Physician	$2.2M	$334K
Ankit Desai	IL	Retina Specialist (Ophthalmology) Physician	$1.7M	$119.2K
Venkata Damarla	IL	Hematology & Oncology Physician	$1.7M	$106.4K
Abdulrahman Rageh	TX	Ophthalmology Physician	$956.9K	$429.9K
Michael Covlin	IL	Obstetrics & Gynecology Physician	$6.8K	$1.4M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chestnut Health Systems, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.2M
Iv Care, LLC	IL	Home Infusion Therapy Pharmacy	$0	$10.4M
Southern Illinois Healthcare Foundation, Inc	IL	Federally Qualified Health Center (FQHC)	$0	$10.2M
Southern Illinois Healthcare Foundation, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$6.3M
Vasantha Pai	IL	Gastroenterology Physician	$576.5K	$777.8K
Medicine Express, LLC	IL	Long Term Care Pharmacy	$260.8K	$0
Eric Whittenburg	IL	Foot & Ankle Surgery Podiatrist	$153.2K	$0
Casandra Roy	IL	Family Nurse Practitioner	$79.5K	$47.1K
Rebecca Blandina	IL	Occupational Therapist	$103K	$3.2K
Oliver Wolfe	IL	Anesthesiology Physician	$100.3K	$0

David Norman — Billing Profile & Reimbursement Data

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David Norman — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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